Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEATRICE LAVONNA BLACK, LPN
ActiveDEATRICE LAVONNA BLACK, LPN is a Licensed Vocational Nurse healthcare provider located in JOLIET, Illinois. NPI 1215448352 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · JOLIET, IL
Registration Details
- NPI Number
- 1215448352
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2017 (8.7853306750699 yrs)
- Last Updated
- Oct 16, 2017
- Licenses
-
043117036 (IL)043117036 (IL)
Practice Information
- Address
-
503 BELLARMINE DR E APT 7JOLIET, IL, 604361838Browse IL providers · Browse ZIP 60436
- Phone
- 8154569757
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
- Additional Specialty
- Licensed Practical Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.